Rafati Foot and Ankle Clinic LLC
Organization Active NPI Podiatrist · Summit, IL
NPI 1104338516 · NPPES record last updated Oct 26, 2017
Key facts
- NPI
- 1104338516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 016005230 (IL)
- Legal business name
- RAFATI FOOT AND ANKLE CLINIC LLC
- Practice address
- 7604 W 63Rd St
Summit, IL 60501-1812 - Phone
- (219) 688-6292
- NPI assigned
- Oct 26, 2017
- Organization subpart
- No
Authorized official
- Name
- Murad Abdel-Qader
- Title
- Owner
- Phone
- (219) 688-6292
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Rafati Foot and Ankle Clinic LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 016005230 | IL | Yes |
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 016005230 | IL |
Addresses
Primary practice location
7604 W 63Rd St
Summit, IL 60501-1812
Mailing address
9340 Lochwood PL
Tinley Park, IL 60487-4797
Phone (219) 688-6292
Other providers in Summit, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.